Organization
ATIBA YOUTH INTERVENTION SERVICSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD ANTHONY WHEELER (EXECUTIVE DIRECTOR)
(804) 272-2277
Entity
Organization
Contact information
Practice address
7825 MIDLOTHIAN TPKE, SUITE 112, RICHMOND, VA 23235-5247
(804) 272-2277
Mailing address
7825 MIDLOTHIAN TPKE, SUITE 112, RICHMOND, VA 23235-5247
(804) 272-2277
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1181
VA
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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